Ocular Apoplexy

Apoplexy

Pineal apoplexy.

A case of haematoma in the pineal region is reported in a patient whose initial symptom was subarachnoid haemorrhage. The encapsulated haematoma and surrounding blood clots were removed surgically. Haemorrhage into a pineal cyst may have been the cause of this particular intracranial mass.

Pituitary apoplexy.

Pituitary apoplexy, a rare clinical syndrome secondary to abrupt hemorrhage or infarction, complicates 2%-12% of pituitary adenomas, especially nonfunctioning tumors. Headache of sudden and severe onset is the main symptom, sometimes associated with visual disturbances or ocular palsy. Signs of meningeal irritation or altered consciousness may complicate the diagnosis. Precipitating factors (in...

Recurrent pituitary apoplexy due to two successive neoplasms presenting with ocular paresis and epistaxis

UNLABELLED A case of recurrent pituitary apoplexy is described in a 72-year-old man who initially presented with haemorrhage in a non-functioning pituitary adenoma. Five years later, he re-presented with a severe pituitary haemorrhage in an enlarging sellar mass invading both cavernous sinuses causing epistaxis and bilateral ocular paresis. Subsequent histology was consistent with a sellar mali...

Pituitary apoplexy during pregnancy

The pituitary apoplexy is a rare and fatal complication of the pituitary adenoma; it represents 0.6 to 10%. This is a clinical syndrome resulting from a fulminant pituitary expansion due to a bleeding and\or a pituitary infarcissement. We report the case of a 29-year-old patient who consults for an amenorrhoea with spontaneous galactorrhea and chronic headaches evolving over 7 months. The balan...